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General NPI Number Information
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NPI Number | 1285492470
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Entity Type | Individual
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Provider Name | HEATHER E VENTURA-WITCHER PHD
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Gender | Female
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-527-0767
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Fax |
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Provider Business Mailing Address
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Address Line | 1140 OXFORD RD
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44121-1828
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Country | US
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Telephone | 660-281-7502
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | P.08582
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License Number State | OH
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